Acid reflux

dr. Doping

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This problem has been pestering me and I haven't found what exactly causes it or how to resolve it.

Last summer, I noticed I had problems with acid reflux, as I was eating large quantities of parboiled rice. I switched the type of rice to basmati and jasmine and the problem went away. This year when I was cutting, I switched my carb source from rice to pasta and was fine (until my cycle for a powerlifting meet, where I used turinabol and anadrol, when it returned, but went away after cessation of orals). Now I'm bulking again and eating 400g of rice per day and I'm getting acid reflux ever since I started eating rice again, doesn't matter if it's basmati or jasmine or parboiled. Eating slower and taking digestive enzymes before meals seems to help soemtimes a little, but the correlation seems weak to me. What do you think the reason could be? And how can I resolve it? If you need more context, I will gladly provide it.
 
This problem has been pestering me and I haven't found what exactly causes it or how to resolve it.

Last summer, I noticed I had problems with acid reflux, as I was eating large quantities of parboiled rice. I switched the type of rice to basmati and jasmine and the problem went away. This year when I was cutting, I switched my carb source from rice to pasta and was fine (until my cycle for a powerlifting meet, where I used turinabol and anadrol, when it returned, but went away after cessation of orals). Now I'm bulking again and eating 400g of rice per day and I'm getting acid reflux ever since I started eating rice again, doesn't matter if it's basmati or jasmine or parboiled. Eating slower and taking digestive enzymes before meals seems to help soemtimes a little, but the correlation seems weak to me. What do you think the reason could be? And how can I resolve it? If you need more context, I will gladly provide it.
Most probably is an acidic unbalance in your stomach.

Add a half of tea spoon of baking soda in your preferred drink before every meal and or oral suplement for some days.

Once feeling better, use it just before every take that might be aggressive again with your stomach.

Give it a try 😉👌
 
Most probably is an acidic unbalance in your stomach.

Add a half of tea spoon of baking soda in your preferred drink before every meal and or oral suplement for some days.

Once feeling better, use it just before every take that might be aggressive again with your stomach.

Give it a try 😉👌

Baking soda is a bit harsh...
Homeostasis is a state of constancy of the internal environment of the body will strive to balance the alkaline environment of the stomach, which has come from baking soda, with a more serious secretion of hydrochloric acid. However, this method can work if there is no other. Cheap and cheerful 😉
I would not do this because soda very roughly reduces the acidity of the stomach and this can affect the secretion of even more acid on the one hand and the indigestibility of food in the stomach on the other hand, which can already lead to problems in the intestines, where the proliferating bacteria will finish what the gastric juice did not finish. However, the effects of these bacteria will be unpleasant, ranging from gas discharge from bloating to putrefactive problems in the intestines and irritable bowel syndrome.





Yeah, GERD is an issue for me too, so let's take a little look at the structure of the stomach to understand why this problem can arise. The tissue inside the stomach is protected from the action of hydrochloric acid, although it is corroded by it, but it is restored quite quickly and, as a rule, only in cases of extreme pathology can hydrochloric acid cause damage to the stomach tissue. Also, there are no nerve endings in the stomach tissue that feel this corrosion. Therefore, in the case of an ulcer, you will feel it only at the moment of disappearance. However, the tissue of the esophagus is already quite tender and if the contents of the stomach splash into the esophagus, you feel heartburn and reflux.

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The most common problem is that the esophageal sphincter does not close.
the mechanism of sphincter closure assumes sufficient acidity in the stomach. That is, if the contents of the stomach are acidic enough and gastric juice is secreted, then the sphincter closes, preventing the contents of the stomach from entering the esophagus. If the sphincter is closed all the time, you will not be able to eat.

That is, there are two main reasons for reflux - insufficient acidity of gastric juice, which is nevertheless acidic enough to corrode the esophagus, but not acidic enough to close the sphincter. The second reason is the relaxation of the sphincter muscle, which is why it cannot close.

Relaxation can occur due to deformation (if there is a lot of visceral fat) or increased intra-abdominal pressure, or a combination. Many athletes observe reflux from frequent use of an athletic belt during squats and deadlifts with heavy reps.

There is evidence that androgens can decrease the tone of smooth muscles, this may facilitate the passage of acid from the stomach into the esophagus.

Fun fact:P premenopausal women suffer from GERD less than men and menopausal women. This suggests that estrogens and progesterone may protect the esophagus, while androgens do the opposite. And transgender men receiving testosterone have a higher incidence of GERD than women without therapy - so androgens makes impact for sure.


Androgens will increase stomach acid production. Animal studies have shown that testosterone can increase gastric acid secretion, contributing to the aggressive effect on the esophageal mucosa during reflux.

Also androgen levels correlate with a male-type body type, which has more visceral fat, which increases intra-abdominal pressure, so +1 point to visceral fat problems and overal bodymass(even ripped muscles) that increases intra-abdominal pressure, compresses the stomach and promotes the mechanical release of gastric contents into the esophagus.

in other words, reflux in this case is just a consequence of the fact that you chose to be big and muscular and some people were luckier in this regard, some were less lucky in this regard. However, now that you understand the mechanism, you know exactly what to be wary of and what choice to make.

Gallstones can also cause reflux. When the gallbladder is distended it can put pressure on surrounding organs and also contribute to irregular and sometimes excessive release of bile because its uniform release is mechanically difficult due to stones.



However, there is an opportunity to improve the situation somewhat:

FIRST
I will note what you should be wary of:

  • Oral AAS are toxic to the liver and lead to thickening of bile, which leads to dyskinesia of the biliary tract and stagnation of bile, which disrupts digestion and sometimes overconcentrated bile can be thrown into the esophagus too.

  • Also, taking stimulants (ephedrine, caffeine, yohimbine) increases the production of gastric juice and its concentration

  • Insulin and growth hormone contribute to the accumulation of visceral fat and the growth of internal organs that put pressure on the stomach (it is hollow, it is difficult for it to withstand pressure, it simply squeezes the contents into the esophagus - reflux), so use it wisely and moderately.

SECOND:

Something that can help with existing reflux:

  • Liver support (TUDCA - perfectly liquefies bile and prevents the formation of stones, UNILIVER - promotes healthy release and the correct composition of bile)

  • Magnesium bisglycinate (relaxes the smooth muscles of the gastrointestinal tract, promotes less retention of contents in the stomach and reduces irritation)

  • Control over your diet (less fat and spices), especially before bedtime, it is better not to eat otherwise reflux will not let you fall asleep

  • Working with posture, stretching the anterior abdominal muscle to reduce pressure in the diaphragm area

  • Use of Antacids(Calcium carbonate and Magnesium carbonate) like Rennie they are a bit more expensive than baking soda, however, they work more gently and last longer. I would recommend taking them, and the price is not very high. Сarry it in your pocket at all times, especially if you are going out for a long time

  • Train your stomach to eat at a specific time. This will help with uncontrollable heartburn due to hunger.

And as a last resort:
Take proton pump inhibitors (PPI) or H2 blockers during the cycle; - however, this negatively affects your strength indicators, digestion and, according to dozens of anedotical reviews, your mood.

Hope my little note will help you to live a better life without fuckin' acid reflux!

Cheers! :giggle:
 
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Well, most has been said already. I would just add that Pantoprazolol (PPI) can help. When I'm on orals and sometimes food can be issue, i would take one on empty stomach and it can help a lot. I don't use it often though. I'm not doctor, don't take it as medical advice, just sharing my experience. Hope it helps.
 
Eating slower and taking digestive enzymes before meals seems to help soemtimes a little, but the correlation seems weak to me
Thanks for all the recommendations. For the past 2 days, I've been eating 400g of parboiled rice (the store ran out of other types of rice when I did my monthly grocery haul) and I have zero clue why I had practically zero issues. Before that, it varied a bit day to day, but I haven't taken digestive enzymes or anything else today and I feel perfectly fine (my diet was also the same as previous days). i have zero clue what happened, but I seem to tolerate my diet now. I hope it stays the same as I ramp up the food volume in the coming months
 
Well, most has been said already. I would just add that Pantoprazolol (PPI) can help. When I'm on orals and sometimes food can be issue, i would take one on empty stomach and it can help a lot. I don't use it often though. I'm not doctor, don't take it as medical advice, just sharing my experience. Hope it helps.

Yeah, Pantoprazole is a type of medicine called a proton pump inhibitor i mentioned in the last paragraph as a last resort.... it will alleviate the symptoms but not the cause
 
Try Glutamine!

It’s inexpensive and safe, so it’s worth trying.
I started taking it a couple of years ago with the goal of supporting the health of my stomach and intestinal lining. As an unexpected but very welcome side effect, about 90% of my acid reflux and heartburn disappeared after just a few days. It was very clear that this improvement started right after I began taking glutamine, so it wasn’t just a coincidence.

I take 5–10 grams daily and have been doing so consistently ever since.
 
Yeah, Pantoprazole is a type of medicine called a proton pump inhibitor i mentioned in the last paragraph as a last resort.... it will alleviate the symptoms but not the cause
Exactly. I should've added that. It's not a real solution, just something that helps manage the symptoms when they hit hard.
 
wow!!! This became a very interesting debate hahaha

Now @dr. Doping , after reading all recommendations….

don’t your prefer escalating proposals while testing them first?

I mean, why jumping to Pantoprazole directly; instead of giving a serious try on baking soda first? 😉

Would love to hear your plans!!

Take care buddy
 
I mean, why jumping to Pantoprazole directly; instead of giving a serious try on baking soda first? 😉

Would love to hear your plans!!
Why not jump to pantoprazole? Because I have no clue where to source it 😂. Yesterday, I only had reflux a few times towards the evening, during and after squatting, whilst usually, it started happening after the first meal with rice. I have a box of baking soda for other (non-cooking) purposes, so I will use it as the first line of defense on days when I get issues. AGain, thanks for all the advice, I was becoming hopeless.
 
Why not jump to pantoprazole? Because I have no clue where to source it 😂. Yesterday, I only had reflux a few times towards the evening, during and after squatting, whilst usually, it started happening after the first meal with rice. I have a box of baking soda for other (non-cooking) purposes, so I will use it as the first line of defense on days when I get issues. AGain, thanks for all the advice, I was becoming hopeless.

Be careful with PPIs. Many people have developed SIBO over the long term (chronic bacterial colonization of the small intestine).

Because yes, it reduces acidity and therefore reflux. But reducing stomach acidity leads to altered digestion, stagnant food, and a tendency for bacteria to grow.
 
Why not jump to pantoprazole? Because I have no clue where to source it 😂. Yesterday, I only had reflux a few times towards the evening, during and after squatting, whilst usually, it started happening after the first meal with rice. I have a box of baking soda for other (non-cooking) purposes, so I will use it as the first line of defense on days when I get issues. AGain, thanks for all the advice, I was becoming hopeless.
simple baking powder is overprised baking soda mostly... andvanced baking powder contains acid + starch + other unnecessary stuff
 
simple baking powder is overprised baking soda mostly... andvanced baking powder contains acid + starch + other unnecessary stuff
The only ingridents listed are "sodium carbonates" so I think it's the simple baking soda. Also paid less than 1€ for it.
 
If it's not going to be sustained over time... Omeprazole 10 mg. But be careful, it lowers B12 levels, and it might be a good idea to add Optovite once a week.
 
If it's not going to be sustained over time... Omeprazole 10 mg. But be careful, it lowers B12 levels, and it might be a good idea to add Optovite once a week.
×
Hello, as I already wrote in the text of my huge post above, stomach acidity is often not the cause of reflux, but its cause is something else, but Omeprazole directly reduces acidity and acidity can fall below the level after which vitamin B12 is absorbed, and then you will really have problems with its absorption and vitamins will not help very well here.
 
Hello, as I already wrote in the text of my huge post above, stomach acidity is often not the cause of reflux, but its cause is something else, but Omeprazole directly reduces acidity and acidity can fall below the level after which vitamin B12 is absorbed, and then you will really have problems with its absorption and vitamins will not help very well here.
×
I already mentioned that this should only be a short-term problem; this shouldn't cause B12 problems.

But still. Optovite B12 is injectable, it bypasses precisely that stomach barrier, once a week, and will keep your levels optimal.
 
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